KYLLIE JENKINS (NPI# 1437683455) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437683455 |
| Entity Type | Individual |
| Full Name | KYLLIE JENKINS |
| Credential | CAC, CCGC |
| Practice Address |
5925 Greenwell Springs Rd Baton Rouge LA 70806-1620 |
| Practice Telephone | 2259267911 |
| Mailing Telephone | 2259267911 |
| Enumeration Date | 2017-04-17 |
| Last Update Date | 2017-04-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
1080 | LA | Behavioral Health & Social Service Providers |
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
1389 | LA | Behavioral Health & Social Service Providers |
| Street Address |
5925 GREENWELL SPRINGS RD |
| City | BATON ROUGE |
| State | LA |
| Zip Code | 70806-1620 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124491279 | Raymond Bowen | Counselor | 5925 Greenwell Springs Rd, Baton Rouge, LA 70806-1620 | 2015-11-10 |
| 1700312576 | Stephanie Wilson | Counselor | 5925 Greenwell Springs Rd, Baton Rouge, LA 70806-1620 | 2017-05-11 |
| 1780034686 | Kevin O'neal | Counselor | 5925 Greenwell Springs Rd, Baton Rouge, LA 70806-1620 | 2016-06-21 |
| 1144670043 | Demika Augustus | Counselor | 5925 Greenwell Springs Rd, Baton Rouge, LA 70806-1620 | 2016-06-21 |
| 1619337631 | Jasmine M Carter | Counselor | 5925 Greenwell Springs Rd, Baton Rouge, LA 70806-1620 | 2016-03-03 |
| 1629435698 | Crystal Murray | Counselor | 5925 Greenwell Springs Rd, Baton Rouge, LA 70806-1620 | 2016-01-21 |
| 1154796837 | Jada Harris | Counselor | 5925 Greenwell Springs Rd, Baton Rouge, LA 70806 | 2015-12-07 |
| 1386018646 | Sarah Alisa Foster | Counselor | 5925 Greenwell Springs Rd, Baton Rouge, LA 70806-1620 | 2015-11-23 |
| 1942674791 | Charles Johnson | Counselor | 5925 Greenwell Springs Rd, Baton Rouge, LA 70806-1620 | 2015-11-17 |
| 1164895215 | New Hope Intensive Outpatient Substance Abuse Clinic | Case Management | 5925 Greenwell Springs Rd, Baton Rouge, LA 70806-1620 | 2015-11-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467064790 | Horizon Network LLC | Community/Behavioral Health | 921 Lobdell Blvd Suite D, Baton Rouge, LA 70806 | 2020-08-18 |
| 1093324220 | Raghu Rudraraju | Student in an Organized Health Care Education/Training Program | 3401 North Boulevard Baton Rouge General Mid City Medi, Suite 130, Baton Rouge, LA 70806 | 2020-07-23 |
| 1619595584 | Brown's Pharmacy, LLC | Pharmacy | 1718 North Foster Drive, Suite B, Baton Rouge, LA 70806 | 2020-07-08 |
| 1497374847 | Yara Mouawad | Student in an Organized Health Care Education/Training Program | 3401 North Boulevard, Suite 130, Baton Rouge, LA 70806 | 2020-04-15 |
| 1396364527 | Sai Samyuktha Bandaru | Student in an Organized Health Care Education/Training Program | Brg Mid City Medicine Clinic, 3401 North Boulevard, Sui, Baton Rouge, LA 70806 | 2020-04-08 |
| 1588299812 | Iraneeka S Gustave | Peer Specialist | Kelwood Ave, 8326 Kelwood Ave, Baton Rouge, LA 70806 | 2020-03-06 |
| 1518522192 | Silpita Katragadda | Student in an Organized Health Care Education/Training Program | 3401 North Boulevard, Brg Midcity Medicine Clinic, Suite 130, Baton Rouge, LA 70806 | 2019-05-08 |
| 1437713997 | Dental Solutions, LLC | Dentist | 5629 Government St, Baton Rouge, LA 70806 | 2019-04-30 |
| 1699249516 | Shea Lafountain | Counselor | 624 Connell's Park Lane, Baton Rouge, LA 70806 | 2019-01-14 |
| 1033682802 | Genesis Specialty Groups, LLC | Clinic/Center | 778 Chevelle Drive, Baton Rouge, LA 70806 | 2019-01-04 |
| Find all providers in zip 70806 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801416060 | Renovo Wellness, LLC | Counselor | 10771 Perkins Rd Ste C, Baton Rouge, LA 70810-1693 | 2020-04-17 |
| 1316573157 | Gregory Mitchell | Counselor | 9864 Big Bend Ave, Baton Rouge, LA 70814-4303 | 2020-03-12 |
| 1528614625 | Vital Transitions Behavioral Healthcare Inc. | Counselor | 4021 We Heck Ct Ste L1, Baton Rouge, LA 70816-0416 | 2019-08-14 |
| 1972164481 | Debra A Thomas | Counselor | 1231 Laurel St, Baton Rouge, LA 70802-4645 | 2019-06-25 |
| 1437719432 | Karla Rene Alexander | Counselor | 446 N 12th St, Baton Rouge, LA 70802-4613 | 2019-06-20 |
| 1174088660 | Cory Woodson | Counselor | 13675 Coursey Blvd Apt 231, Baton Rouge, LA 70817-1347 | 2019-02-08 |
| 1831654532 | Whitley Marie Ladner | Counselor | 940 E Tom Stokes Ct, Baton Rouge, LA 70810-3175 | 2019-02-06 |
| 1407326085 | Rosalyn N Davis | Counselor | 216 S. Foster, Baton Rouge, LA 70806 | 2018-11-27 |
| 1629548276 | Darcy Marie Anderson | Counselor | 216 South Foster Dr, Baton Rouge, LA 70806 | 2018-11-27 |
| 1316422280 | Sarah Louise Raines | Counselor | 918 Rossmore Ave, Baton Rouge, LA 70810-4675 | 2018-09-26 |
| Find all providers in BATON ROUGE | ||||
| City | BATON ROUGE |
| Zip Code | 70806 |
Please comment or provide details below to improve the information on KYLLIE JENKINS.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.